Acute Respiratory Failure Accompanied with Eosinophilia

호산구 증가를 동반한 급성 호흡 부전증

  • Um, Hyeon-Seok (Department of Internal Medicine, Catholic University Medical College) ;
  • Jang, Jie-Jung (Department of Internal Medicine, Catholic University Medical College) ;
  • Lee, Suk-Young (Department of Internal Medicine, Catholic University Medical College) ;
  • Kim, Chi-Hong (Department of Internal Medicine, Catholic University Medical College) ;
  • Kwon, Soon-Seog (Department of Internal Medicine, Catholic University Medical College) ;
  • Kim, Young-Kyoon (Department of Internal Medicine, Catholic University Medical College) ;
  • Kim, Kwan-Hyoung (Department of Internal Medicine, Catholic University Medical College) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, Catholic University Medical College) ;
  • Song, Jeong-Sup (Department of Internal Medicine, Catholic University Medical College) ;
  • Park, Sung-Hak (Department of Internal Medicine, Catholic University Medical College) ;
  • Lee, Kyo-Young (Department of Clinical Pathology, Catholic University Medical College)
  • 엄현석 (가톨릭대학교 의과대학 내과학교실) ;
  • 장지정 (가톨릭대학교 의과대학 내과학교실) ;
  • 이숙영 (가톨릭대학교 의과대학 내과학교실) ;
  • 김치홍 (가톨릭대학교 의과대학 내과학교실) ;
  • 권순석 (가톨릭대학교 의과대학 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 내과학교실) ;
  • 김관형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실) ;
  • 이교영 (가톨릭대학교 의과대학 임상병리학교실)
  • Published : 1993.06.30

Abstract

Chronic eosinophilic pneumonia is an idiopathic condition characterized by chronic infiltration of the lung with eosinophils, weight loss, dyspnea, and pulmonary infiltration. Recently, we have experienced one case of chronic eosinophilic pneumonia presenting as the acute respiratory failure. A 34-year-old man was admitted to the hospital with one month's history of coughing, dyspnea, mucoid sputum, weight loss and one day's history of subcutaneous emphysema. The radiographic lung lesion and dyspnea rapidly progressed to a critical condition of acute respiratory failure. The combination of blood eosinophilia, lung infiltration on the chest x-ray, sign of acute rapiratory failure, rapid response to steroid therapy, and the finding of the transbronchial lung biopsy permit the diagnosis of chronic eosinophilic pneumonia.

Keywords